Individual
MATTHIEU PHILIPPE DECLERCK
Active
Individual
MATTHIEU PHILIPPE DECLERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
A101627
CA
207P00000X
Emergency Medicine Physician
48842
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021043
KAISER COMMERCIAL NUMBER
CO
05
—
68132735
—
CO
Enumeration date
11/09/2007
Last updated
09/03/2013
Update your record
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